Please do not photocopy Ref O-PLG-En
Parent/Legal Guardian Acknowledgment of Consent for Minors
Family name
Given name
Date of birth (day/month/year)
Current residential address
Current residential county/state/province
Please write clearly in CAPITAL LATIN LETTERS
I confirm that I am the parent/legal guardian (delete as appropriate) of the participant named in the Eligibility Conditions Form and that:
1. I consent to the above-named participant taking part in the Games of the XXX Olympiad and signing the Eligibility Conditions Form, and I undertake to ensure that the participant will comply with the terms and conditions of the Eligibility Conditions Form and the Olympic Charter.
2. I confirm that:
a. I have read and understood the Eligibility Conditions Form and the Olympic Charter, and have fully explained to the participant the terms and effects of them;
b. the participant has read the Eligibility Conditions Form and the Olympic Charter and, together with the benefit of my explanation, understands its respective terms and effects;
c. I consent to and approve all provisions of the Eligibility Conditions Form and undertake to ensure that the participant shall honour his/her obligations under the Eligibility Conditions Form; and
d. I have notified the participant’s National Olympic Committee (NOC) of any specific medical condition or need of the participant.
Note: This Form must be completed and signed by the parent/legal guardian of a participant who has not reached 18 years of age on the date of signing the Eligibility Conditions Form, otherwise the participant will not be accepted to participate in the Games of the XXX Olympiad in London in 2012 (hereinafter the ‘Games of the XXX Olympiad’).
Current residential postcode
Current residential country Name of participant
D D M M Y Y Y Y
3. Authority to Chef de Mission: I hereby irrevocably authorise the Chef de Mission of the participant’s NOC to provide the necessary consent where and when required for the participant’s participation in any event or programme in connection with the Games of the XXX Olympiad. I consent to any medical treatment being administered to the participant in the case of any injury or illness whilst the participant is in the United Kingdom for the Games of the XXX Olympiad.
4. Release and Waiver: In consideration of the acceptance by the IOC and LOCOG to the participant taking part in the Games of the XXX Olympiad, I irrevocably release the IOC and LOCOG (and their respective members, directors, officers, employees, volunteers, contractors or agents) from any liability (to the extent permitted by law) for any kind of loss, injury or damage that the participant may suffer or be exposed to in connection with the participant’s participation in the Games of the XXX Olympiad.
5. Arbitration: I agree that any dispute, controversy or claim arising out of or in connection with this Acknowledgment of Consent which cannot be settled amicably shall be submitted exclusively to the Court of Arbitration for Sport (CAS) in Lausanne, Switzerland, for final and binding arbitration in accordance with the Code of Sports-related Arbitration. The seat of arbitration shall be at Lausanne, Switzerland.
The decisions of the CAS shall be final, binding and non-appealable. I shall not and I hereby waive my right to institute any claim, arbitration or litigation, or seek any other form of relief, in any other court or tribunal.
Participant’s father/mother/legal guardian (delete as appropriate)
Signature, name of NOC President/Secretary-General or Chef de Mission, and NOC stamp
Date
Date Read and agreed by the parent/legal guardian:
Read and agreed by the NOC:
Signed
Signed
Confirmation by NOC
We certify and confirm that the above named person is the father/mother/legal guardian (delete as appropriate) of the participant and acknowledge that our Chef de Mission has accepted responsibility for the participant in the manner stated in paragraph 3 above.
D D M M Y Y Y Y
This document and the official Emblems of the London 2012 Games are © London Organising Committee of the Olympic Games and Paralympic Games Limited (LOCOG) 2007–2011. All rights reserved.
D D M M Y Y Y Y Current residential town
Chef de Mission
Date Read and agreed in his/her capacity as Chef de Mission:
Signed
D D M M Y Y Y Y
Attention: This form must reach LOCOG 2012 Accreditation no later than 23 March 2012 Relationship to participant (eg: father, mother, legal guardian)
Please do not photocopy IOC Olympic Charter – selected excerpts
40. Eligibility Code
To be eligible for participation in the Olympic Games, a competitor, coach, trainer or other team official must comply with the Olympic Charter, including the conditions of eligibility established by the IOC, as well as with the rules of the IF concerned as approved by the IOC, and the competitor, coach, trainer or other team official must be entered by his NOC. The above-noted persons must:
– respect the spirit of fair play and non-violence, and behave accordingly; and – respect and comply in all aspects with the World Anti-Doping Code.
Bye-law to Rule 40
1. Each IF establishes its sport’s own eligibility criteria in accordance with the Olympic Charter. Such criteria must be submitted to the IOC Executive Board for approval.
2. The application of the eligibility criteria lies with the IFs, their affiliated national federations and the NOCs in the fields of their respective responsibilities.
3. Except as permitted by the IOC Executive Board, no competitor, coach, trainer or official who participates in the Olympic Games may allow his person, name, picture or sports performances to be used for advertising purposes during the Olympic Games.
4. The entry or participation of a competitor in the Olympic Games shall not be conditional on any financial consideration.
48. Media Coverage of the Olympic Games
1. The IOC takes all necessary steps in order to ensure the fullest coverage by the different media and the widest possible audience in the world for the Olympic Games.
2. All decisions concerning the coverage of the Olympic Games by the media rest within the competence of the IOC.
Bye-law to Rule 48
1. It is an objective of the Olympic Movement that, through its contents, the media coverage of the Olympic Games should spread and promote the principles and values of Olympism.
2. The IOC Executive Board establishes all technical regulations and requirements regarding media coverage of the Olympic Games in a Technical Manual on Media, which forms an integral part of the Host City Contract. The contents of the Technical Manual on Media, and all other instructions of the IOC Executive Board, are binding for any and all persons involved in media coverage of the Olympic Games.
3. Only those persons accredited as media may act as journalists, reporters or in any other media capacity. Under no circumstances, throughout the duration of the Olympic Games, may any athlete, coach, official, press attaché or any other accredited participant act as a journalist or in any other media capacity.
Bye-law to Rule 50
1. No form of publicity or propaganda, commercial or otherwise, may appear on persons, on sportswear, accessories or, more generally, on any article of clothing or equipment whatsoever worn or used by the athletes or other participants in the Olympic Games, except for the identification – as defined in paragraph 8 below – of the manufacturer of the article or equipment concerned, provided that such identification shall not be marked conspicuously for advertising purposes.
1.1 The identification of the manufacturer shall not appear more than once per item of clothing and equipment.
1.2 Equipment: any manufacturer’s identification that is greater than 10% of the surface area of the equipment that is exposed during competition shall be deemed to be marked conspicuously. However, there shall be no manufacturer’s identification greater than 60cm2.
1.3 Headgear (e.g. hats, helmets, sunglasses, goggles) and gloves: any manufacturer’s identification over 6cm2 shall be deemed to be marked conspicuously.
1.4 Clothing (e.g. T-shirts, shorts, sweat tops and sweat pants): any manufacturer’s identification which is greater than 20cm2 shall be deemed to be marked conspicuously.
1.5 Shoes: it is acceptable that there appear the normal distinctive design pattern of the manufacturer. The manufacturer’s name and/or logo may also appear, up to a maximum of 6cm2, either as part of the normal distinctive design pattern or independent of the normal distinctive design pattern.
1.6 In case of special rules adopted by an International Sports Federation, exceptions to the rules mentioned above may be approved by the IOC Executive Board.
Any violation of the provisions of the present clause may result in disqualification or withdrawal of the accreditation of the person concerned. The decisions of the IOC Executive Board regarding this matter shall be final.
The numbers worn by competitors may not display publicity of any kind and must bear the Olympic emblem of the OCOG.
8. The word ‘identification’ means the normal display of the name, designation, trademark, logo or any other distinctive sign of the manufacturer of the item, appearing not more than once per item.
9. The OCOG, all participants and all other persons accredited at the Olympic Games and all other persons or parties concerned shall comply with the manuals, guides, or guidelines, and all other instructions of the IOC Executive Board, in respect of all matters subject to Rule 50 and this Bye-law.